Head-to-head · WeighScore
MedLeanRx vs Transcarent
The verdict
MedLeanRx takes it — 73.9/100 to 55.2/100.
MedLeanRx grades higher on WeighScore, our editorial score across cost value, dose & formulation, clinical oversight, labs & monitoring, fulfillment and contract terms. MedLeanRx is a physician-guided telehealth weight-loss clinic serving Texas only, based in Spring, TX.
We may earn a commission if you start care through some of these links, at no extra cost to you. It never moves the WeighScore, which is the weighted average of the six factors shown for every provider, and what we write about a provider is the same either way. See our disclosure.
Factor by factor
The same six graded dimensions, side by side. See the methodology.
The numbers
| Metric | MedLeanRx | Transcarent |
|---|---|---|
| WeighScore | 73.9/100 | 55.2/100 |
| Grade | C | C |
| Scorecard rank | #66 | #445 |
| Semaglutide | $149/mo (starting dose, promotional rate, compounded) | Not disclosed |
| Tirzepatide | $269/mo (starting dose, compounded) | Not disclosed |
| Coverage | 1 state | Coverage not published |
| Brand-name access | Yes | Compounded only |
| Oral / sublingual | Yes | Injection only |
Graded #66 · C
Strengths
- Compounded semaglutide $149/mo in both weekly injection and daily oral tablet form
- Brand pathway for Wegovy, Zepbound, and Foundayo (orforglipron) at a $99/mo fee plus medication cost
- Intro bundle: 2 months of compounded tirzepatide (2 mg weekly) for $325 — about $163/mo
- LegitScript seal displayed; named supervising physician (Dr. Johnson Uzor, MD)
- Free shipping, no hidden fees, and cancel-anytime plans per homepage trust chips
Where it loses points
- Texas only — not available in the other 49 states
- Compounded tirzepatide is $269/mo at standard pricing, above the ~$249 market median
- Strict no-refund policy: 'All sales are final' per Terms & Conditions
- Pharmacy partner not publicly named — a transparency gap for a compounding service
- Legal entity name and founding details not published on the site
Graded #445 · C
Strengths
- Comprehensive Weight Health pathway from lifestyle to GLP-1s to surgery
- Care team of doctors, nurses and pharmacists supports medication use
- Uses direct pharma contracts and a transparent PBM to cut costs
- Integrates bariatric surgery navigation alongside medication
- Built on 15 years of Surgery Center of Excellence experience
Where it loses points
- Distributed only via employers and health plans, no direct cash-pay
- GLP-1 access depends on whether the plan covers the medication
- No public individual monthly pricing
- Not available to consumers without an eligible employer or plan
Also worth a look
Neither is our top-graded pick — CoreAge Rx leads the scorecard
Across all 499 providers, CoreAge Rx grades highest at 91.8/100 (A−). Top of the scorecard: flat transparent pricing, both molecules, nationwide — no teaser-rate games.
Pricing/verification reflect each provider's public disclosures at last grading; the WeighScore is our editorial judgment per the methodology. Prices change — confirm on each provider's site. Not medical advice; see our disclosure.